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1760772388
AUTUMN J THERRIEN
LEWISTON, ME
NPI
1760772388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME 3142)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
AUTUMN J THERRIEN RDH
19 PETTINGILL ST
LEWISTON, ME 04240-5903
Phone number: 207-513-1197
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Mailing Address
AUTUMN J THERRIEN RDH
PO BOX 314
LEWISTON, ME 04243-0314
Phone number: 207-513-1197
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